Holladay Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HOLLADAY PHARMACY

Practice address

4690 Holladay Blvd
Salt Lake City, UT 84117-5243

Phone

(801) 278-0411

NPI assigned

Feb 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gordon Hanks

Title

Owner

Phone

(801) 278-0411

Specialties & licenses 1

Addresses

Tax ID family

Holladay Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Holladay Pharmacy Inc

  • Pharmacist
  • Holladay, UT
  • NPI 1750473971
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275660789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 HOLLADAY BOULEVARD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 HOLLADAY BLVD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175243",
            "telephone_number": "801-278-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLADAY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANKS",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-278-0411"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teryn A Holeman, PHD MEDICAL STUDENT
• Racheal Ivy Holiday
• Hannah Holik, MD
• Holladay Family Practice
• Holladay Hills Family Dental P.C.
• Clark B. Holladay, LCSW
• Alyssa Holland
• Candice Holland, LCSW
• David Michael Holland
• David Tory Holland

• Community/Retail Pharmacy in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Community/Retail Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.